HomeMy WebLinkAboutHomestead_Thorbecke° CLAIM FOR HOMESTEAD PROPERTY TAX I� FoRM Y�`R
CREDIT/STANDARD DEDUCTION �J
State Fortn 5473 (R8/ 7-07)
� n� Prescribed by iha Departmenl of Local Govemment Firurxe
INSTRUCTIONS: See ieverse side Ior filirn� instrucfions.
. , � ,
��e) u certify that or� d�y�"�.rch� 20— I,
I(We) occupied as our prinapal place of residence the fdbwing described real property fw which a Homestead �ppe Tmc�it is qpreby daimed:' '
I(We) owned ❑ Are buying under contract ���50� COUNTY AUDITOR
. Have a benefidal interest in �he entity Uiat is IiaWe fw the property taxes on ihe property and fhat owns the property or is buying under a contract. �,
If buy'u�g on oonlracl, Fee Simple ownefs reme
Recortlera of6ca where conUad is recorded
Caunty Twmahip
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Record number � Page
Peul num / I�!/T �� AJ(O —�— �� �i71: s Iha poperty in-Real �pmperty ' ❑ Mobila Fbme (IC 67.7-n
r- �➢�y
If erry of Ihe re5iderNal sWCiure w the IarW not e�cceedirg one (1) acre that'unmediatNy wrtounds Uat re is used to pmtluce inmme, describe Ure use end portion
of Ne rry utiEZad tu pmduce mmma.
01� - 6�3G - �o-��/. 9��- oa �
County � Twvnship
I hereby certify the above statements are We, cortect and complete. s�J r aaim�
raly, s6te. end
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�. � � � .� • �
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Land nol exceedirg 1 (oire) ave immediatey �� � `�N ��. "','� � .£ � �� ;_ :�,"
surtounding residential improvements. -,� - -
Ofherland (Z� i; ','.�.�i=:
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�_�,..
Tatal IarM (1'me 1 pluslrne 2) (g)
-_RY � K � ^�T r -
Dwellin9 (4) � .e Kn-r3 � ;f.s � ��, E L; ,�
Residential imprwements aMnually ��. ?,,..�-, .?: ..�?-. ,� . =
Assess�ed Modle / Manufactured Hon7e >--<.r. �n�:. « J ^�" '' -
�� �; 14V+�a4'.
Ci3f892 5 i�TT^'S'.. i k` xy- "
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�}�ICf IffIjXOV2RICf1�5 �6� — :'S"``� i
Tdal improvements (line 4 thiough Grre 6) �7)
TUaI value (line 3 p4a liire n �g�
I hereby certify the above i5 trve, correU, eM SignaWre of Pssessor Date signed (mnth. tlay, yea�
compiete.
Vaifying adion - Signature of Auditnr Date signed (m�onfh. daY. Y��)
�•'�� � • • �
�� pay 20 _ qs ppp for 2007 pay 2008 42,000 for 2010 pay 2011
Leuer M 12 qq�000 for 2008 pay
Homestead Valuatim PeY Z009 41,000 for 2017 2012 $
a 43,000 for 2009 pay 2010 40,000 payable aRer 2012 . _ _ -
SignaWre of Auditor Date signed (mmfh, day, yea�
e. f ,
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